Acute Compartment Syndrome
Conditions
Keywords
near infrared spectroscopy, lower extremity injury
Brief summary
The purpose of this study is to define the reliability and accuracy of Near Infrared Spectroscopy (NIRS) in the detection of intra-compartmental tissue perfusion in injured and noninjured extremities over time. The investigators hypothesize that this technology, combined with vital signs, intracompartmental pressures and clinical examinations, will be useful in diagnosing acute compartment syndrome (ACS), monitoring patients at risk for ACS, and evaluating the adequacy of fasciotomy in patients treated for ACS.
Interventions
Non-invasive monitoring device applied on the surface of the skin that emits harmless red light to measure tissue perfusion.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-65 years old * male or female * active duty servicemen who have been evacuated from OIF or OEF through LRMC
Exclusion criteria
* patients not willing to provide consent * patients in whom application of NIRS monitoring is viewed as an impediment to casualty care
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| NIRS values in various physiologic states (stable control, critically injured control, lower extremity injury) | 24-48 hours from hospital admission |
Countries
Germany